Using human-robot interaction to assess emotion recognition in dialysis patients: A preliminary study.
Concetta De Pasquale1, Maria Luisa Pistorio2, Helene Høgsdal3
1Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania 95123, Italy.
Asian Journal of Psychiatry
|February 8, 2026
Summary
This study found that age and alexithymia (difficulty identifying emotions) significantly impair emotion recognition in chronic kidney disease (CKD) patients. Humanoid robots show promise in detecting these socio-emotional processing changes.
Area of Science:
- Psychology
- Human-Computer Interaction
- Nephrology
Background:
- Chronic kidney disease (CKD) affects numerous physiological systems, potentially impacting cognitive and emotional processing.
- Assessing socio-emotional deficits in medically vulnerable populations requires innovative and sensitive methodologies.
Purpose of the Study:
- To investigate the relationship between psychological factors (alexithymia, anxiety, depression) and multimodal emotion recognition in CKD patients.
- To evaluate the utility of a humanoid robot as a novel tool for assessing emotion recognition in this population.
Main Methods:
- A cross-sectional observational study involving 60 adult CKD patients undergoing dialysis.
- Emotion recognition was assessed using Ekman facial expressions, dynamic video clips, and a NAO humanoid robot.
- Psychological factors were measured using validated scales for alexithymia (TAS-20), anxiety (GAD-7), and depression (PHQ-9).
Main Results:
- Age and alexithymia negatively predicted emotion recognition, particularly in video and robot-based tasks.
- Anxiety positively predicted recognition of happiness and fear in static facial tasks.
- Robot-based emotion recognition was influenced by age and dialysis duration.
Conclusions:
- Alexithymia and age are key factors in reduced emotion recognition among CKD patients.
- Socially assistive robots offer a promising avenue for detecting subtle socio-emotional processing alterations in vulnerable patient groups.
- Findings support future longitudinal research integrating technological and psychological assessments for improved patient care.
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